Medical Billing Services in
Wisconsin

Optimize your practice’s revenue cycle with Wisconsin-based billing solutions with specialty-driven RCM support and local payer expertise. At Medheave, our trusted medical billing experts are available 24/7 for your help.

Medheave – Medical Billing
Experts in Wisconsin

Medheave has been awarded as the most trusted and best billing company in Wisconsin for the last two decades. We have been serving local healthcare providers with best-in-class RCM services Wisconsin. Our efforts have enabled faster reimbursements, a minimum of 45% reduction in claim denials, and also resulted in improved cash flow across all the medical specialties.

Medical billing outsourcing in Wisconsin to Medheave results in streamline coding and billing processes that help medical practices in developing transparency and greater compliance with local laws and regulations. Beside offering unique and useful billing services to primary care physicians, our specialty-specific billing services streamline the billing process and minimize claim denials by a mesmerizing figure of 70%. Get onboard the most reputed platform of local healthcare billing experts with a clear goal of helping you get every penny from insurance companies.

Local Billing Challenges for Wisconsin Providers

Wisconsin medical billing companies face various challenges pertaining to strict compliance with Wisconsin Medicaid policies and other payers. Some of the core and burdensome challenges are:

Regulatory Compliance Burdens

Staying abreast with constantly changing local, state and federal regulations including MACRA, ACA, and HIPAA are sometimes too much to handle by in-house teams. Medheave’s secure and HIPAA-compliant systems reduce all risk associated with non-compliance.

Claim Denials and Slow Reimbursements

Without dedicated billing support for small practices Wisconsin providers face continuous claim denials due to use of invalid CPT, ICD-10 codes and erroneous billing. Our AHIMA & AAPC-certified team ensures precision, accuracy at every step.

Staffing and Training Deficiencies

Shortages of skilled and trained staff keep healthcare facilities from obtaining full benefits of their clinical practices. Medheave as an authentic outsourced medical billing partner offers RCM staff, having local knowledge of Wisconsin payer rules.

Technological Limitations and Data Security

Medical practices lack sufficient funding for using up-to-date technologies which results in slow workflow processing and compromising patients’ data security. Medheave offers top-notch HIPAA-compliant billing solutions with state-of-the-art EHR and billing software integration for fool-proof data security.

Medical Billing Services We Offer

Complete Medical Billing & Coding

We offer complete and scalable billing solutions for Wisconsin practices ensuring 24/7 support for multi-location practices. Our revenue cycle management Wisconsin services comprises seasoned certified professional coder (CPC), certified coding specialist (CCS), and certified medical coder (CMC), helping you minimize incidence of up/down coding. Ultimately leading to higher clean claim rate and first pass rate above 90%.

Insurance Eligibility Verification

Medheave’s medical billing for clinics in Wisconsin handle prompt patient insurance verification to keep claim denial at minimum. RIght before patient/doctor encounter, end-to-end billing management staff of our company thoroughly check a patient’s insurance plan validity, services and procedures allowed, policies for obtaining prior-authorization, deductibles, etc so you can easily perform procedures without any fear of claim rejection or denial.

Claims Submission & Follow-up

Healthcare billing services in Wisconsin we offer utilizes the services of dedicated account managers submitting every medical claim within a 24-hour timeline. After claim submission, comprehensive and robust follow-up steps are taken to facilitate any shortcomings like typos or invalid coding, etc. Our secure and updated virtual dashboard keeps providers informed for anticipated approval and payment transfers at a click of a button.

Denial Management & Appeals

Our services for claims denial management Wisconsin are designed for rapid solution deployment and appeal filing. As a part of your staff, we investigate any claim assigned as denied for root-cause analysis. After this painstaking process, we add remedial actions and catalogue it for future prevention. Prompt appeals are filed to facilitate the reimbursement process and recover the amount owed by insurance payers.

Provider Credentialing & Enrollment

Medheave offers and facilitates the complete process of credentialing and enrollment for Wisconsin providers. Our provider credentialing support team has up-to-date knowledge on enrollment policies for commercial payers including UnitedHealthcare, Anthem Blue Cross Blue Shield Wisconsin, Quartz, Dean Health Plan, BadgerCare Plus, etc. We also offer CAQH profile maintenance, upgradation for enrollment with government plans e.g., CMS (Centers for Medicare & Medicaid Services).

Prior Authorization Assistance

Our HIPAA-compliant services entail industry’s benchmark prior-authorization solutions to ensure your healthcare practice receives full reimbursement. Medheave’s billing and coding specialists in Wisconsin obtain authorization from insurance companies 24-48 hours prior to procedures and encounters to facilitate faster reimbursements and minimize denials. We help providers achieve 100% compliance with payer-specific rules in Wisconsin. Prior authorization also helps in billing audits and reporting.

Billing/EHR Software We Support

Our billing and coding experts provide end-to-end RCM services and best-in-class billing software integration to medical facilities across Wisconsin irrespective of their practice type and size. Patient billing software we use offers greater EHR and PM compatibility utilizing advanced cloud-based systems for custom workflows, streamlining the entire revenue cycle process. We have proficient team of medical billers, ready to demonstrate their capabilities on various type of software including:

Benefits of Outsourcing Billing to Medheave in Wisconsin

We are the most trusted and reliable partner for healthcare billing services for TN providers in elevating their revenue and maximizing every opportunity from insurance claims to get medical practitioners paid in full. Medheave’s insurance and Medicaid billing expertise in Tennessee offers you the following:

Cost Savings

We offer a variety of benefits to healthcare facilities in Wisconsin. Among them, cost savings on operational expenses, training and hiring additional or existing staff may result in up to 50% expenditure reduction.

Improved Cash Flow

Outsourcing our billing company improves the revenue cycle stream and helps better management of your earnings. Our medical billing team ensures claims are processed and submitted promptly so your practice avoids cash flow problems.

Access to Advanced Technology

We use state-of-the-art medical billing software that helps in avoiding common typos and billing errors. Automated billing, coding and claim processing systems may help improve accuracy, error-detection and accurate patient records.

Increased Efficiency

Our skilled, trained team having certifications from top institutions provides unparalleled results. Outsourcing our billing staff streamline your practice’s billing process and increase efficiency of revenue cycle output for Wisconsin-based providers.

Better Customer Service

Our trained and friendly billing staff ensures patient satisfaction as a paramount factor for retaining and increasing the pool of patients. We also take actions on patient inquiries and issues so they are addressed promptly and professionally.

Certified with State-Specific Healthcare Bodies

We are a certified medical billing company with various accolades to our name. We are certified and trusted by various healthcare bodies in the state of Wisconsin including:

Wisconsin Department of Health Services
Wisconsin Medical Society

Our Statewide Presence in Wisconsin

Medheave is renowned statewide medical billing in Wisconsin, serving Milwaukee to Madison and beyond with local billing support for clinics. We offer multi-faceted billing and coding support for urban and rural providers in cities including:

Experience With Local Health Insurance Plans & PayersaSpecialties We Serve

Our medical billing for specialty practices provides custom coding support per specialty along with payer rules per discipline for more than 50 medical specialties including:

Optimize Your Revenue – Contact
Medheave

Frequently Asked Questions (FAQs)

How do you handle Medicaid billing for Wisconsin providers?

Our RCM experts have vast experience in Wisconsin Medicaid billing and coding practices. Medheave’s local healthcare billing experts stay updated with local, state and federal healthcare guidelines and help your practice in compliance with regulations. Additionally, we provide our billing and coding team refresher training on CMS (Centers for Medicare & Medicaid Services) protocols, helping your practice to get maximum benefits from treating patients under this insurance plan.

Can you integrate with our EHR system?

Our latest medical billing software is highly versatile and suitable to all Wisconsin-based EHR systems or software in use by your practice to offer you:

Automated charge capture and claim submission.
Secure data transfers with HIPAA compliance.
Custom workflow improvement to improve efficiency.

What specialties do you serve in Wisconsin?

We at Medheave medical billing consultancy company serve more than 50 medical specialties across all cities and regions of Wisconsin from north to south and east to west. The most common specialties we are working with includes:

Podiatry
Mental & Behavioral health
Internal Medicine
Pediatrics
Neurology
General Surgery
Orthopedics
OB/Gyn
Cardiology
Endocrinology, etc

Do you offer credentialing services for new providers?

Yes absolutely, our credentialing and enrollment managers are well-reputed in resolving this complicated and time-consuming process. We help newly established providers and medical practices based in Wisconsin in getting credentialed, enrolled in different payer programs like in-network, out-of-network and out of contract negotiations. Our assistance allows healthcare practitioners to get contracts on favorable terms and increase the number of patients treated at their clinic and get paid without any unfair deduction.

What makes Medheave different from other billing companies in Wisconsin?

Medheave is a household name in Wisconsin and across the USA. We have more than 15 years of experience in resolving revenue cycle issues for providers based here. Beside a HIPAA-compliant medical billing company, we offer a complete suite of medical billing and coding services including provider credentialing, enrollment and contracting, prior-authorization, insurance eligibility verifications, denial management, account receivable recoveries, data analytics and forecasting services. Offering end-to-end billing management with a complete package puts us in a unique situation where no other company matches us.

How do you ensure billing compliance and data security?

Our medical coding team uses the latest CPT, ICD-10, HCPCS codes ensuring precision and accuracy in assigning accurate diagnostic and procedure codes. Additionally, our medical billing software is based on secure and HIPAA-compliant systems, keeping your patients’ confidential financial and personal data secure from cyber-attacks.

States we are serving in